SUNRISE OUTREACH SERVICES (NPI# 1255841326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255841326 |
| Entity Type | Organization |
| Organization Name | SUNRISE OUTREACH SERVICES |
| Practice Address |
304 E Pine St # 89 Lakeland FL 33801-4969 |
| Practice Telephone | 7028189114 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | TIFFANY LILES (OWNER) |
| Authorized Official Telephone | 7028189114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
304 E PINE ST # 89 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495108 | Fulfilling Endeavors Incorporated | Community/Behavioral Health | 4927 Southfork Dr, Lakeland, FL 33813-2043 | 2019-06-13 |
| 1275013542 | Beautiful Mind Behavioral Services, Corp. | Community/Behavioral Health | 1137 Bartow Rd Ste A, Lakeland, FL 33801-5828 | 2018-08-16 |
| 1154824266 | Counsel With Kim LLC | Community/Behavioral Health | 1543 Lakeland Hills Blvd Ste 7, Lakeland, FL 33805-3246 | 2018-03-14 |
| 1144730003 | Seeking Therapy and Reaching for Success Counseling Servces | Community/Behavioral Health | 5475 Wilmington Cir Apt 209, Lakeland, FL 33813-2764 | 2017-10-05 |
| 1669829925 | Reaching Higher Heights, LLC | Community/Behavioral Health | 1102 S Florida Ave Ste 100a, Lakeland, FL 33803-1308 | 2016-05-17 |
| 1851765580 | Heads | Community/Behavioral Health | 3244 Merlot Dr, Lakeland, FL 33811-1810 | 2015-11-18 |
| 1487039848 | Florida Mentor | Community/Behavioral Health | 5304 S Florida Ave Ste 206, Lakeland, FL 33813-4918 | 2015-07-28 |
| 1518344332 | Mr. Ed's Family & Education Intervention Services, Inc. | Community/Behavioral Health | 231 N Tennessee Ave Ste 300, Lakeland, FL 33801-4970 | 2015-04-30 |
| 1235520248 | Robinson-kyles Counseling and Testing Services, LLC | Community/Behavioral Health | 505 Martin L King Jr Ave Ste 1, Lakeland, FL 33815-1527 | 2015-02-12 |
| 1972945087 | Lifecare of Lakeland, LLC | Community/Behavioral Health | 625 Schoolhouse Rd, Suite 2, Lakeland, FL 33813-2615 | 2013-07-18 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.